Zongxian Yang

Yuan Wu, Zongxian Yang, Jiayu Qian et al.

Large vision-language models (VLMs) often benefit from chain-of-thought (CoT) prompting in general domains, yet its efficacy in medical vision-language tasks remains underexplored. We report a counter-intuitive trend: on medical visual question answering, CoT frequently underperforms direct answering (DirA) across general-purpose and medical-specific models. We attribute this to a \emph{medical perception bottleneck}: subtle, domain-specific cues can weaken visual grounding, and CoT may compound early perceptual uncertainty rather than correct it. To probe this hypothesis, we introduce two training-free, inference-time grounding interventions: (i) \emph{perception anchoring} via region-of-interest cues and (ii) \emph{description grounding} via high-quality textual guidance. Across multiple benchmarks and model families, these interventions improve accuracy, mitigate CoT degradation, and in several settings reverse the CoT--DirA inversion. Our findings suggest that reliable clinical VLMs require robust visual grounding and cross-modal alignment, beyond extending text-driven reasoning chains. Code is available \href{https://github.com/TianYin123/Better_Eyes_Better_Thoughts}{here}.

Yulong Chen, Xiaoyun Dong, Haoyu Zhang et al.

Reconstructing dynamic scenes from Vehicle-to-Infrastructure Cooperative Autonomous Driving (VICAD) data is fundamentally complicated by temporal asynchrony: vehicle and infrastructure cameras operate on independent clocks, capturing the same dynamic agent such as cars and pedestrians at different physical times. Existing Gaussian Scene Graph methods implicitly assume synchronized observations and assign a single pose per agent per frame, which is an assumption that breaks in cooperative settings, where the resulting gradient conflicts cause severe ghosting on dynamic agents. We identify this as a representation-level failure, not an optimization artifact: we prove that any single-timeline formulation incurs an irreducible photometric loss scaling quadratically with agent velocity and cross-source time offset. To resolve this, we propose Dust (DecoUpled Spatio-Temporal) Gaussian Scene Graph for 4D Cooperative Driving Reconstruction. DUST Gaussian Scene Graph shares a canonical Gaussian set per agent for appearance consistency, while maintaining decouple pose trajectories aligned to each source's true capture timestamps. We prove that this decoupling enables the pose-gradient kernel block-diagonal, eliminating cross-source interference entirely. To make Dust practical, we further introduce a static anchor-based pose correction pipeline that corrects spatio misalignment between vehicle and infrastructure annotations, and a pose-regularized joint optimization scheme that prevents trajectory jitter and drift during early training. On 26 sequences from V2X-Seq, DUST achieves state-of-the-art performance, improving dynamic-area PSNR by 3.2 dB over the strongest baseline and reducing Fréchet Video Distance by 37.7%, with keeping robustness under larger temporal asynchrony. Code is available at https://anonymous.4open.science/r/DUST-6A55.

Zongxian Yang, Jiayu Qian, Zegao Peng et al.

Large reasoning models have recently made significant strides in mathematical and code reasoning, yet their success has not transferred smoothly to the medical domain. While multiple factors contribute to this disparity, a critical issue is the inadequate focus on the quality of intermediate reflection steps, which is particularly crucial in high-stakes medical scenarios. To address this challenge, we propose Med-REFL, a \underline{\textbf{Med}}ical \underline{\textbf{R}}easoning \underline{\textbf{E}}nhancement via self-corrected \underline{\textbf{F}}ine-grained ref\underline{\textbf{L}}ection. Our method leverages a tree-of-thought approach to decompose medical questions into fine-grained reasoning paths, quantitatively evaluating each step and its subsequent reflections. These assessments enable automatic construction of direct preference optimization data, reducing reliance on expensive expert annotations while guiding models to identify and correct reasoning errors. Experimental results on the MedQA-USMLE benchmark demonstrate Med-REFL achieves consistent improvements, with average gains up to 4.11\%. Notably, it further boosts the state-of-the-art performance of 7B/8B models by an additional 4.13\%. Furthermore, Med-REFL exhibits strong generalization capabilities and robustness across several challenging medical question-answering datasets. Our work illustrates that prioritizing reflection quality leads to more accurate and trustworthy reasoning in medical AI applications. Checkpoints, code, and data can be found in https://github.com/TianYin123/Med-REFL.

Zongxian Yang, Jiayu Qian, Zhi-An Huang et al.

Large language models (LLMs) face significant challenges in specialized biomedical tasks due to the inherent complexity of medical reasoning and the sensitive nature of clinical data. Existing LLMs often struggle with intricate medical terminology and the need for accurate clinical insights, leading to performance reduction when quantized for resource-constrained deployment. To address these issues, we propose Quantized Medical Tree of Thought (QM-ToT), a path-based reasoning framework. QM-ToT leverages a Tree of Thought (ToT) reasoning approach to decompose complex medical problems into manageable subtasks, coupled with evaluator assessment layers. This framework facilitates substantial performance improvements in INT4-quantized models on the challenging MedQAUSMLE dataset. Specifically, we demonstrate a remarkable accuracy increase from 34% to 50% for the LLaMA2-70b model and from 58.77% to 69.49% for LLaMA-3.1-8b. Besides, we also proposed an effect data distillation method based on ToT. Compared to the traditional distillation method, we achieved an improvement of 86. 27% while using only 3.9% of the data.This work, for the first time, showcases the potential of ToT to significantly enhance performance on complex biomedical tasks, establishing a crucial foundation for future advances in deploying high-performing quantized LLM in resource-limited medical settings.